Organization
BRENTWOOD SURGERY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA JASSO (BILLING MANAGER)
(310) 444-8808
Entity
Organization
Contact information
Practice address
11819 WILSHIRE BLVD STE 215, LOS ANGELES, CA 90025-6631
(310) 444-8808
(310) 444-8809
Mailing address
11819 WILSHIRE BLVD STE 215, LOS ANGELES, CA 90025-6631
(310) 444-8808
(310) 444-8809
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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